Original article
Changes in psychological variables and health behaviors by dieting status over a three-year period in a cohort of adolescent females

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Purpose:

Psychologic and behavioral changes associated with frequent dieting were examined. Compared to nondieters, frequent dieters were hypothesized to show more adverse psychologic changes and increased use of unhealthy weight control behaviors, but possibly healthier eating and exercise behavior changes, over the three-year period of observation.

Methods:

A prospective study of female students, in grades 7–10 at baseline completed a health behavior survey in school once a year for a total of three years.

Results:

Restrained eating, body dissatisfaction and drive for thinness, self-induced vomiting, laxative use, diet pill use, and alcohol use, significantly increased, and physical appearance and self-concept significantly decreased among frequent dieters, compared to non-dieters. Changes in scores on five EDI subscales, eight self-esteem subscales, weight fluctuations, dietary intake, and physical activity patterns did not significantly differ over time by dieting status.

Conclusion:

Dieting may reflect a general pattern of unhealthy behaviors adopted in adolescence, rather than act as a causal factor in promoting psychologic distress.

References (53)

  • RosenJC et al.

    Life stress, psychological symptoms, and weight reducing behavior in adolescent girls: a prospective analysis

    Int J Eating Disorders

    (1990)
  • RosenJC et al.

    The relation among stress, psychological symptoms, and eating disorder symptoms: a prospective analysis

    Int J Eating Disorders

    (1993)
  • Striegel-MooreRH et al.

    A prospective study of disordered eating among college students

    Int J Eating Disorders

    (1989)
  • WilsonGT

    Relation of dieting and voluntary weight loss to psychological functioning and binge eating

    Ann Internal Med

    (1993)
  • WooleySC et al.

    Should obesity be treated at all?

  • French SA, Story M, Resnick MD, et al. Frequent dieting in adolescents: psychosocial and health behavior correlates....
  • PolivyJ et al.

    Diagnosis and treatment of normal eating

    J Consult Clin Psychol

    (1987)
  • HeathertonT et al.

    Chronic dieting and eating disorders: a spiral model

  • GarnerDM

    Pathogenesis of anorexia nervosa

    Lancet

    (1993)
  • GrossJ et al.

    Bulimia in adolescents: prevalence and psychosocial correlates

    Int J Eating Disorders

    (1988)
  • PattonGC et al.

    Abnormal eating attitudes in London school girls—a prospective epidemiologic study: outcome at twelve month follow-up

    Psychol Med

    (1990)
  • PolivyJ et al.

    Dieting and binging: a causal analysis

    Am Psychol

    (1985)
  • RosenJC et al.

    Psychological adjustments of adolescents attempting to lose or gain weight

    J Consult Clin Psychol

    (1987)
  • Striegel-MooreRH et al.

    Toward an understanding of risk factors for bulimia

    Am Psychol

    (1986)
  • KillenJD et al.

    Depressive symptoms and substance use among adolescent binge eaters and purgers: a defined population study

    Am J Public Health

    (1987)
  • JessorR

    Successful adolescent development among youth in high risk settings

    Am Psychol

    (1993)

    • Cited by (0)

    This research was supported by a grant N1H R01 HD24700 to Dr. Gloria R. Leon.

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    Copyright © 1995 Published by Elsevier Inc.